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Home My WebLink AboutZ-20863FORM NO. 4 TOWN OF 80UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20863 Date JULY 16t 1992 THIS CF~TIFIES that the buildin~ Location of Property 180 TERRY COURT House No. County Tax Map No. 1000 Section 59 Subdivision ONE FAMILY DWw3.T,TNG SOUTHOLD ~ NEW YORK Street Hamlet Block 11 Lot 10 Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9r 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-20863 dated JULY 16t 1992 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWW3~.INGWITHACCESSORY STORAGE The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. JOHN J. & FERN E. BERRY N/~ Rev. 1/81 Location Subdivision BUILDIUG DEP:L2T~'.LENT T0',¥$! OF SOUTHOLD, N. Y. HOUSIJG CODE IHSPECTION REPORT 180 TERRY COURT (numoer ~ street) ~Iap SOUTHOLD~ NEW YORK (~,iunicipa±i~y) No. Lot(s) Nm,me of Owner(s) JOHN & FERN BERRY Occupancy ONE FAMILY {type) A~itted by: FERN BERRY OWNER (owner- ~enan~ Accompanied by: SAME Key available Suffolk Co. Tax No. 59-11-10 Source of request EDWARD J. BOYD V~ ATTY Date JULY 13,1992 2 D%~LLI~IG: Type of construction FRAME Foundation BLOCK (MASONRY) Cellar Total rooms, let. F1 4 2nd. F1 Bathroom(s) ONE Porch, type Breezeway Type Heat Fireplace(s)~ ENCLOSED OIL #stories 1-1/2 x Crawl space 3 3rd. F1 Toilet room(s) Deck, typ~ Patio, type Garage Utility room 'Warm Air Hotwater xx ~o. ~cits 2 Airconditionin~ xx ~ype heater OFF FURNACE Domestic hotwater Other ~CCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const. FRAME ~IOLATIONS: _Location .CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Description I~A~rt.t Sec. Remarks: BP ~10983z CO z-11187 ~SUED TO ENCLOSE PORCH Inspected by:~~~/~Date of Insp. JULY 15, 1992 ~--~-~THOM~S J.~ISHER 'Time start 8:40AMend 9:00 AM-- Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ,JUL I 3 1992 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ........... 2 .......................... New Construction ........... Old Or Pre-ex±sting Bu±lding ................. Location of Property.,.,, ..................................................... House No. Street Hamlet Onwer or Owners of Property .............................................................. ... . County Tax Map No 1000, Section .............. Block ................ Lot ...................... Subdivision ........................... .... . .... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ............. ... Applicant ............................. Health Dept. Approval ..................... .. .. . Underwriters Approval ...................... . .. Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. ~I~.~T~.. ~ .~~ I ~.% qq3 3 ... ...... .... ..... do(es) hereby state: ONSE, ,T TO INS P~C'F[ON That the undersigned (is) (are) the Owner(u) of the pre~niser; in thc Town ----~ _, which is shown and des[r, natcd on tile Suf:'oik County tax map as District lOOO, Section _ _. Block O\ , Lot '%0 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Soutbcld Toxxm Building lnspector,s Office for the follo:,,inC. That the unders/~ncd do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter Upon the above described property, including an;,, and all buildings located thor;on, to conduct such inspections as they may deem necessary with respect to th~ aforesaid application, inc!udinf inspec:iolns to determine that said pre.wlises comply with all of the laws; ordinances, rules and regulations of the Town cf $outhold. The undersigned, in consenting to such inspections, do(es) so with the knov.'ledge and understanding that any infornnation obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or re~-rulations of the Town of Southold. (s--~nature) __ (print nan]e) TUCKER lANE , S6X*45'E 19 4 ~ ~y 3.1 -- N 64a 23' W alteration or add~tlc~ to thb ~la~m ef See~. 7209 ~f TERRY COURT i02' rS 4.0' ~pieS of this ~rvey map not bearing he Lm~d ~myer~ embc~ecl seal ~ it be mm~l~d m be a volld ml SCRIOED PROPERTY ~/TU~TE SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, ~Y $C~L£ .' I ~ ~ PO'